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Individual

MISS DIOSCORA MONTELLANO MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTL

Contact information

Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
11983 YEARLING ST, CERRITOS, CA 90703-7614
(562) 900-0860

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5324
CA

Other

Enumeration date
01/16/2025
Last updated
01/16/2025
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